NPI | 1649461872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A106448) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.089805) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2010-02-01 |